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� <br /> Work Activity Vlork Order ' ' ' <br /> , , ; , . _ . <br /> ISSUCd BY AGA AHLES,GREGORY A. <br /> Issued Department pw PUBLIC WORKS <br /> Date Issued ai2onooe <br /> Fund aot Account s Program 7to Funclion tza Activity 6>> <br /> Program <br /> TiiIC REPAIR 11433 23RD DR SE 770723671 <br /> Work Order No 20080695 Projecl Activity Type coHaecrive r.�nirarer�nr�ce Siatus c� <br /> Status e�2oi2ooe Timc t�:ao Original WO Dilling <br /> Customer Information <br /> Customer Name Customer ld <br /> Address t�asa SIfCC'� 27RU�R SE <br /> Aparinent No Cily <br /> State Zip <br /> Subdivision Change Map Y/N <br /> Phone No ( ) - Ext <br /> Second Phone l 1 - Ext <br /> E-Mail Address <br /> Problem Information <br /> Address 11434 Street 23RD OR SE <br /> Prom Cross Street <br /> To Cross Sireel <br /> Cily Zip <br /> Subdivision Map Book Map Reference <br /> Problem DRAIN DRAINAGE <br /> Sub Problem CB'S ALL CB EXCEPT CLEAN <br /> Requested By Date Requesled <br /> Agency Relaled Request <br /> Initiafed From <br /> Ulilily Locate (USA) No Called Date Expiration Dale <br /> Assignment Information <br /> Dept Pw PU6LIC WORKS Priority Estimated Hours <br /> C�CW SCONST SEWER CONSTRUCTION(AHLES) <br /> CoNractor <br /> Assigned To AAL ARNOLD, t1RTHUP.L. <br /> Assigned By AGA AHLES,GREGORY A. <br /> Assigned Dale To Be Comp Date <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken REBUILT CB W GREY BRICK AND MORTOR.CONCRETE 1'7(2'CURU AND GUiTER ASPHALT <br /> rxaxa'• <br /> Recommended Action aEPAia eaoKEN C�3 <br /> AO�)fOVCd BY AAL �+RNOL[�. ARTHUR L JOb COSf If1�Off1l8GOf1(Y;N� <br /> Starl Date i i Time �Jate Completed �vzorzooe Perrnit No <br /> Completed By Time Follow Up? <br />